The present invention applies to the field of medical devices, and provides capsule endoscope control device and system. The capsule endoscope control device comprises: a frame a rotating apparatus, disposed on the frame a movement arm, secured to the rotating apparatus, a tail end of the movement arm being provided with a permanent magnet and a driving apparatus, electrically connected to the rotating apparatus and the movement arm, and configured to receive an external movement control instruction, drive the rotating apparatus, the movement arm and the permanent magnet to move, and control position and posture of the capsule endoscope in a human body via a magnetic force of the permanent magnet. According to the present invention, by means of electrical control, the driving apparatus controls movement of the rotating apparatus and the movement arm, the permanent magnet disposed on the movement arm controls position and posture of the capsule endoscope in the human body, such that the capsule endoscope picks up complete images on the stomach, and accuracy and precision of medical diagnosis are improved.
